The Effect of Joint Range of Motion and Benson Relaxation Exercises on Dialysis Adequacy, Treatment Adherence, and Quality of Life in Hemodialysis Patients

Обзор

The aim of this study is to determine the effects of range of motion and Benson relaxation exercises applied to patients undergoing hemodialysis treatment on dialysis adequacy, treatment adherence, and quality of life.

Подробное описание

The aim of this randomized controlled trial is to determine the effects of range of motion and Benson relaxation exercises on dialysis adequacy, treatment adherence, and quality of life in patients undergoing hemodialysis. The patients in the study will be divided into three groups. One group will perform range of motion exercises, another group will perform Benson relaxation exercises, and the third group will receive no intervention and will be assigned as the control group. The study will be conducted three times a week for eight weeks. A pre-test will be administered before the start of the study. Further tests will be conducted at the end of weeks 4 and 8. The final test results will be collected at the end of week 10.

Research hypotheses:

H1: Range of motion exercises performed on hemodialysis patients during dialysis affect their dialysis parameters.

H2: Range of motion exercises performed on hemodialysis patients during dialysis affect their dialysis adequacy.

H3: Range of motion exercises performed on hemodialysis patients during dialysis affect their quality of life.

H4: Benson relaxation exercises performed on hemodialysis patients during dialysis affect their dialysis parameters.

H5: Benson relaxation exercises performed on hemodialysis patients during dialysis affect their dialysis adequacy.

H6: Benson relaxation exercises performed on hemodialysis patients during dialysis affect their quality of life.

Вмешательства

• Другое Range of Motion Intervention (ROMI)
  Procedure Steps: * The patient is evaluated for factors that may affect the procedure (restricted movement, presence of fistula, history of surgery, etc.). • The patient is placed in the supine position. • Movements are performed from head to toe. • Each movement is repeated 3-5 times. • With the patient's head and chin supported, the following movements are performed sequentially: flexion, extension, hyperextension, right lateral flexion, left lateral flexion, right rotation, and left rotation
• Другое Benson Relaxation Exercise Intervention (BREI)
  Procedure Steps: * The patient is asked to choose a word that is important to them and that they can focus their attention on (health, well-being, love, affection, God, etc.), a prayer, or a short sentence. * They are asked to close their eyes in a calm environment and in a comfortable position. * They are asked to slowly relax their muscles from foot to head (foot, calf, thigh, abdomen, chest, shoulder, neck, and head). • They are asked to breathe in through their nose and repeat the chosen wo

Первичные конечные точки

• SEVEN-POINT SUBJECTIVE GLOBAL ASSESSMENT (SGD-7P) [Срок оценки: From enrollment to the end of treatment at 8 weeks]
• END-STAGE RENAL FAILURE - COMPLIANCE SCALE [Срок оценки: From enrollment to the end of treatment at 8 weeks]
• Kidney Disease Patients Quality of Life Scale (KDQOL-36) [Срок оценки: From enrollment to the end of treatment at 8 weeks]

Критерии участия

Критерии включения

• Being 18 years of age or older
• Receiving HD treatment for at least 1 year
• Receiving HD treatment 3 days a week for 4 hours
• Being able to speak Turkish
• Volunteering to participate in the study

Критерии исключения

• Patients with chronic diseases affecting breathing (advanced COPD, cancer)
• Patients with hearing or speech problems
• Patients with a diagnosed psychiatric condition
• Patients with conditions that impede movement, such as burns, open wounds, edema, thrombophlebitis, limited mobility, fistulas, or previous surgical operations in the extremities

Exclusion Criteria from the Study:

• Patients whose HD center changed during the study
• Patients who did not wish to continue with the study
• Patients who received a diagnosis of neurological or psychiatric illness during the study.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Поддерживающая терапия

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07410416 · AU-PMYO-VK-01

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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